Shantrece N Davis, in Indianapolis, IN - Medicare Nurse Practitioner

Shantrece N Davis, is a medicare enrolled "Nurse Practitioner - Family" in Indianapolis, Indiana. Her current practice location is 3815 River Crossing Pkwy Ste 100, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (844) 735-3314.

Shantrece N Davis is licensed to practice in Indiana (license number 71010008A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760003784.

Contact Information

	Shantrece N Davis,
	3815 River Crossing Pkwy Ste 100, Indianapolis, IN 46240-7766
	(844) 735-3314
	(855) 737-5542

Map and Direction

Provider's Profile

Full Name	Shantrece N Davis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3815 River Crossing Pkwy Ste 100, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760003784
Provider Enumeration Date: 04/30/2020
Last Update Date: 04/30/2020

Medicare PECOS Information:

PECOS PAC ID: 5698106797
Enrollment ID: I20200505001354

Medical Identifiers

Medical identifiers for Shantrece N Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760003784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71010008A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shantrece N Davis allows following entities to bill medicare on her behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366768160 PECOS PAC ID: 9234041948 Enrollment ID: O20090318000016

Entity Name	Onhealthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417220369 PECOS PAC ID: 8527221480 Enrollment ID: O20120514000325

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shantrece N Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shantrece N Davis, 333 Commerce St Ste 700, Nashville, TN 37201-1835 Ph: (615) 454-9850	Shantrece N Davis, 3815 River Crossing Pkwy Ste 100, Indianapolis, IN 46240-7766 Ph: (844) 735-3314

Reviews and Comments

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Shantrece N Davis, - Medicare Nurse Practitioner in Indianapolis, IN